Provider Demographics
NPI:1255653580
Name:NUCLEA DIAGNOSTIC LABORATORIES, LLC
Entity Type:Organization
Organization Name:NUCLEA DIAGNOSTIC LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURACA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-749-4705
Mailing Address - Street 1:46 ELM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6502
Mailing Address - Country:US
Mailing Address - Phone:413-749-4705
Mailing Address - Fax:413-445-9930
Practice Address - Street 1:46 ELM ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6502
Practice Address - Country:US
Practice Address - Phone:413-749-4705
Practice Address - Fax:413-445-9930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUCLEA BIOTECHNOLOGIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-01
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2879291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory